| NPI | 1295738516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX L5950) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C186338) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CA C186338) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2023-09-29 |